| NPI | 1386172641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD470115) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD470115) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD470115) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2025-09-02 |